Organization
WANDA J ROSENLUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA J ROSENLUND (HOST HOME PROVIDER)
(775) 425-4585
Entity
Organization
Contact information
Practice address
2968 ALLARIZ CT, SPARKS, NV 89436-6446
(775) 425-4585
(775) 425-4585
Mailing address
2968 ALLARIZ CT, SPARKS, NV 89436-6446
(775) 425-4585
(775) 425-4585
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9005041577
—
NV
Enumeration date
02/29/2016
Last updated
02/29/2016
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